Jurnal Respirasi
ISSN 2407-0830
Vol. 1 / No. 3 / Published : 2015-09
Order : 3, and page :88 - 93
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Original Article :
Sequelae tuberkulosis dengan hemoptisis rekurens
Author :
- Desilia Atikawati*1
- Isnin Anang Marhana*2
- Mahasiswa Fakultas Kedokteran
- Dosen Fakultas Kedokteran
Abstract :
Background: Various sequelae and complications can occur in treated or untreated tuberculosis (TB). One of complications inthe lungs is hemoptysis, due to alterations of pulmonary vascular structure. Hemoptysis as TB sequelae can happen recurrently andmassively. Case: We present the case of 31 year old man with recurrent hemoptysis since 1 year before admitted to hospital. Patient hada history of receiving antituberculosis drugs (ATD) before. Chest xray showed pleural thickening and opacity in right hemithorax withsigns of loss of volume. Bronchoscopy showed active bleeding in lateral segment of right lung middle lobe. Chest CT showed destroyedright lung. Hemoptysis still existed despite the given conventional therapy, thus patient underwent pulmonary arteriography. The resultshowed extensive vascular abnormality in the right lung with arteriovenous fistula on right bronchial artery and aneurysmatic branch ofsuperior bronchial and inner intercostal arteries. During the procedure, there was no active bleeding, so bronchial artery embolizationwas adjourned. Patient then experienced recurrent and massive hemoptysis, thus right pneumonectomy was done. During the surgery,there was uncontrolled active bleeding that caused the patient’s death. Conclusion: This case illustrates recurrent hemoptysis as one ofsevere TB sequelae. In extensive pulmonary vascular abnormality, pneumonectomy can cause uncontrolled active bleeding. Bronchialartery embolization can be used as an alternative to treat patients with recurrent homptysis..
Keyword :
sequelae of TB, recurrent hemoptysis,
References :
Perhimpunan Dokter Paru Indonesia,(2011) Tuberkulosis: pedoman diagnosis dan penatalaksanaan di Indonesia p. 2, 16–24 : PDPI
Archive Article
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 Volume : 1 / No. : 3 / Pub. : 2015-09 |
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